Syahrain Diova; Muhammad Sahrul
This study examines the implementation of speech therapy for children with speech delay at PSAA Balita Tunas Bangsa, an orphanage setting where children experience limited parental stimulation and various psychosocial challenges. The objective of this research is to analyze how speech therapy is carried out, identify supporting and inhibiting factors, and understand its impact on children's expressive language development. Using a qualitative descriptive approach, data were collected through interviews, observations, and documentation involving the head of the institution, speech therapist, caregivers, and a child with speech delay. The findings show that speech therapy conducted through methods such as word repetition, picture-based learning, and interactive play is effective in enhancing children’s vocabulary, communicative confidence, and social interaction. Key supporting factors include caregiver involvement and adequate facilities, while limited therapy frequency and children's initial resistance become inhibiting factors. The results indicate that the integration of therapy with daily caregiver support significantly contributes to the child's language progress. These findings highlight the importance of consistent stimulation, collaborative care, and structured therapeutic programs in improving expressive language skills in institutionalized children with speech delay.